AF - 46732n
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City of Fridley, Minn.
BUILDING PERMIT
Date: � � � � � �
Adaress " Address
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N° � '7268
LO O OF BUILDING
No. E�� Street s-'� _........ P Lot
Lot .L��_ Block _.._ Addition or Sub-Div�ision � �� �
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Corner Lot — Inesde Lot � S.etback ���— Sideyard � � p
Sewer IIevat4on ____ Foundal3on IIevation
DESCRIPTION OF BUILDING
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Front ��Depth .�y�� Height �� Sq. F'� Cu. F����.�
��a � t Depth I� t--��. Ft Cu. Ft
Type of Conatructfon F�t. � �_—be Completed
In con�ideral3on of the isauance to me of a permit to construct the buiiding described a�ve I agree to do
the proposed work in acc�rdance with the d+eacription above set Porth and in compliance with a�l provlsions of
or8inances of the dty of Frldley.
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Ea conafderatton of the payment of a fee oP � pern►it ia hereby granted to
to construct the buflding or addition as described above. This �ermit fs granted upon
the express c�ndition that the pereon to whom it fs granted and his agents, employees and workmen, fn all work
done in, around ead u�n said building, or anypart thereoP, shall conPorm in all respects to the orrlinancee of
Fridley, Minnesota regarding lacation, construction, alteration, maintenaace, repair .and moving of bufldfnga
within the dty limita and thia permit may be revoked at aqy Lilme upan violatto� an3' of the Pravisions of said
ordtaaacea. /'�, _ .�,� / /
Btifldiag Inspector
� NOTICE:
ihb psrmh doa aot eovar �hs eoestrneH�, iestallaltee to� rri►hre, piumbieg, ea 6eaMag, mr�r er w�tsr. B� suro to ae�
Na Baildine Insp�oe for ap�ralr p�rmhs fe� t6� It�ms.
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APIi,ICATION FOR $UILDING P��.ALtT
CI7:Y OF FRIDLEY, MINNESOTA
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OWNER � S NAME�1-/C+M/� f�7 ��/�L CN/C��/�"lI� BUTLDER� L c� l2 /�/I� / d' � e�a ea� cg
�iDDRESS �'� f � 1 c�i /�P _ST i1/,�. ,ADDRESS r�,�' A a�` ;.a . � —
LOCATIOPT OF BUII.DING
No. r Street /�C,i GC�% -�/ A/� Part of Lot
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Lot�'�'��w� /� Block Addit3on or.Subdivision_�/1/�,/Zl�j��+,- ,/��'lCH�S
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Corner Lot�Inside Lot�yc 5_Setback � Side �Card JCC� ANIJ f�% -�
SEZTER ELEVAT7[ON � I� ,�`i' ROUNDATION II�EVATION � Z�Z s g�� )� � 0 r� �'��I
Applicant attach to this form Two Certificates of.Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as : � ��� ,�
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l�w, �-L c ��+� � Front � ]G��.�h �' Height
Sq. Ft. L'u. Ft.
Front B�rth Aaight
Sq. Ft. Gu. Ft.
Type of Construction Estimated Cost
To be Completed
The undersigned 'hereby makes application for a permit for ehe wprk herein apecified,
agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and
ruliags of Che Depaxtment of Buildiags, and hereby declares that a11 the facts and
representations stated in this application are true and correct.
DATE ( �GT /�/ ���v SIGNATURE
�Schedule of Fee Costs can be found on ehe Reverse Side).
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BUILDING PE�T FEE SC;IEDULE
Section 2. The Inspector of Buildings shail, before ie�uing any pe�nit for
the er�ctioa of any building or structure, qr for any addition ta any ea��st-
iag building or etructure, or £or�any alterations or repairs to any esietc�n$
building or atructure, upon application therefor, require the pay�aent by the
applicant for such permit of fees to the amount herein below set forth ard
in the �naaner herein provided to-wit:
2.1. For auy such pet�m�l.t for the erection o.f anq fire-proof buildang, other
than a garage! �rarehouse, factory or gra.in elevator, or for�the erectiom of�
aay fire-proof addition, for similar occupaacy, to any euiating build3,ug
shall be at the rate of $1.40 for each one thousaad cubic feet, or fractic+n
thereof, in such cubical contents.� �
2.2.- For aay such permit for �he erection of any fire-proof gsrage, warehause,_
factory or grain elevator, or for the erectioa of aay fire-proof additioc,
for eimilar o�cupancy,- to �eny �:xietii�g 'Bu3.ldimffi shall be at the rate �of $1.25
for each one thoueaz�d cubic feet, classified as °1fireproof" by 3ection .SC2 of
the Minaea.polie Build�.ng Code. �
HOUSES . ,�
2.3. For any such permit for the ere�tion of aay non-fireproof buildin.� ocLe�
than a garage, warehouse, factory or grain elevator, or any aon-fireg.c«�
addition, for s3milar occupancy, to any euistiag buildiag - peranit $�..QtD �or
eacb one thoueand cubic feet.
=
2.4_ For any such permit for the ere�t�.,� �: �.;:; �.��o�t;Q�r�g ga�.g�e,
warehouse, factorq or grain elevator, .�*_: r�,J� r..'�z; r��:;:�i�� r�� �,�� noa-f�r�proof
additioa, �£or -s3milar occupancy, to r-,,� ,�;::�s.��°��.r_� i;�:.�::.�:t.�; or �or each eLCh
_. -buiLdiag or addition - aiaety c�*a�:; P;z, ,��;�;u�;��'�;�,;;.d oae thcusand c�al�:c feet
or fraction thereof, in the Ctfa�C�;.�. r's'�.i.� �P'�•a �j�E,-+g�np;l with a minimum of $4.0�.-
Fos the purpose oi comput3ag fees ��,r '�L' ;.�.ing perc►i�s, the cubical coatents
_ of aay building or additioa to a unifca:a i�e�;;�it tYiro�ghout by muLtiply�ng the �
ground area covered from a poinC siu (6) 3ucP�As be?.,w the floor line o£ S:he
basement or.cellar to the averap,e hefght of �i�r ��,�er su�face or to�the �
average height of the roof surface of the main gable of a piltched roof.
2= For repaira or alteratioas to an existing structure, the fee ahall be
at the rate of $3.00 per each Five flundred Dollars ($500.Q0) or fraction
thereof in'the.coae of all'p;ogoaed work. �
2= In no case �shail the fee._clzarged..#vr�;'aay perm,{t � 8et forth in
Section 2 be 1ees. than `$4.pp. .
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n�'ilx lowtion a�'alI �vilDin9s, ff�ereon, or�d ol/ risible manadimtnis ,��'�. �n ar a►isaid /ond. As surreyed 6rJ, me t/tis�--- dotj
� Oc�o6e� A.0.19��. SUBURBAN ENG/NEE2fNG, INC.
! En9ineers Fr urreryors
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sue�ecr PERMIT N .
City of Fridley � 346
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
s � RE o.
� `v _ COMMUNITY DEVELOPMENT DIV. �����
r � � PROTECTIVE INSPECTION SEC.
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�l �'��1 � CITY HALL FRIDLEV S$432 NUMBER REV. DATE PAGE OF APPROVED BY
L���•� � ,•� 612-580-3450
910-F15 4/21/76 � �
JOB ADDRESS 649 Hugo Street N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ].].R].2 R Riverview Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
John Kotilinek 649 Hugo Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDINO
R25 ].dP•Yi't].8�.
7 CLASS OF WORK
C� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 22' Gaxage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.. Note from N.S.P. on building garage
3 feet from back lot line.
SEPERAiE PERMITS REQUIRED FOR �UIRIN�,
Fi�ATINC, PLUMBING AND SIGIVS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINO, HEATING, TYPE OF' CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONINO. ��d ���-'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING Sa. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R�. SZS rJiSO
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNIN(3 THIS TYPE OF WORK WILL BE COMPLIED. $3 � 9O'�. ZO y�`1 .9S
WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING,CON- $].O.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �
PLAN CHECK FEE TOTAL FEE
'' ' $11.95
�} SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERM13�-� �
�r y�-�-� � � d- C�JU'CX.JC_. (J1.�5� �/ cs'� - � �
GNATUREOFOWNERIIPOWNEHBUIL�EF71 IDATEI BLOG INSP �ATE
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AP.pLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME : J c� N/V %� D� J L I N�/�BUILDER : �� ��
�wnxESS : G y 9�c �/� � e° s'� AnnxESS :
NO:. ��/ y STREET: L/ �f �' U '
LOT: �/ �/� BLOCK: � ADDITION: �%% 1�.�� L���l✓ .�/�d G f���
COItNER LOT: INSIDE�LOT:�_SETBACK: SIDEYARD:
Applicant attac'� to this form Tcao Certificates of Survey of Lot a�ad proposed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As;
C �i��e�G!r Front : � � f Depth : � � � Height : / D � -
Square Faet : ,S 2 S Cubic Feet : S.2 � O
Froat• Depth:
Square Feet; �Cubic Feet:
Height•
Type of Construction: �.� � m�' T'/��//1J) �" Estima.ted Cost; $,.?, 90 7_ .� p
To Be Completed: _�s/E� �
The undersigned herebq makes appliGativn for a permit for the work herein
specified, agreeing to do all work in staict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: G�n� � � SIGNATURE• � �
(See Reverse Side For Additional Informa,tion.)
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings sha11, before issuing pernnits for the
, _erection of any building or structure,.or for any addition to any existing
- building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permi.t of fees to the amount herein below set forth and in
the manner herein pravided to-wit:
iTNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
ea.ch one thousand cubic feet. �
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average.-
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall.be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
Tn no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits f�r construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed structure and
of the construction site. •
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before uroceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be ma.de ten (10) da,ys prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occup3.ed until a Certificate
of Occupancy has been issued.
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"We hereby certi(y that we have made an inspeciion of the property herein described, and that thi« �lat shuws thE�
location of the improvements thereon, and ihat ihere are no encrnachments unless indicatetl ther2T�n. This ��lat �nd
certificate are for mort�a�e purposes only."
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FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 16, 2001
Richard Graen
649 Hugo Street NE
Fridley, MN 55432
Re: Final Inspectivn at 649 Hugo Street NE
Contractor: R A Johnson & Son
Dear Mr. Graen:
A plumbing permit was issued on June 29, 1999 to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
We also need to verify smoke detectors have been installed to final out the building permit for
window installation.
The permit fee paid covers the inspector's time to make sure the appliance was installed
correctly. We also check to make sure combustion air has been installed and that the vent and
vent connectors have been sized properly.
If you would like the installation inspected, please contact us within 30 days to arrange the
inspection. If we do not hear from you, we will expire the permit and note that no inspections
were called for.
Any questions can be addressed to me at (763) 572-3603.
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SuB�EGT ,
City of Fridley . 3 0 5 31
i' ` AT THE TOP OF THE TWINS g � I L D I N G P E R M I T qE�E�P .
�
� `v ����� � COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ���
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_-_•� �r���,'� CITY MA�� FRIOLE� 35�32 NUMBEp REV DATE PAGE OF APPppV80 B�
L 612-5� �-3a6o 910-F15
11J19/99 � �
J08 ADDRESS 649 Hugo Street NE
t LEGAL �OT NO. BLOCK TNACT OR AODITION SEE ATTACMED
DESCR. j j,12 R Riverview Heights SHEET
2 PROPERTY OWNER MAII ADDRES$ 21P PMONE
Richard Graen 785-0757
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO
Window Lite 8400 89th Ave N Brookl Park 55445 425-2227 20039258
d ARCNITECT OF OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PNONE LICENSE NO
8 USE OF BUIl01NG
Residential
7 CLASS OF WORK
O NEW O AODITION O ALTERATION �c REPAIR p MOVE O REMOVE
8 DESCRIBE WOFK
1 Bay Window
9 CHANOE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling.
` P�rmit Inspect�on Car�s
INili �e Nfa11e�
To Homeo�ner To P�s�
SEPARA7E PERMITS AqE FiEQUIRED FOR EIECTRICAI, PLUMBING, MEATING. �pE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING Ofi AIR CONOITIONING
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION ZONING SQ. f7 CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTpUCTION
OR WOFK IS SUSPENDED OR ABANDONEO fOR A PERI00 OF 120 DAVS AT
ANV 71ME AFTER WOflK IS COMMENCED NO DW�G. UNITS OiFSTREET PARKING
I HEFEBY CERTIFV TNAT I NAVE READ AND EXAMINED TNIS APPLICATION STAILS GAFAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SUR7AX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WITM WNETHER SPECIFIED HEREIN Ofl NOT. TNE GRANTING OF A PERMIT $,310% � L. SS
DOES NOT PRESUME TO GIVE AUTNORITV TO VIOLATE OR CANCEL TME pEFMIT FEE SAC CHAFGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR 7ME PEFiPORMANCE Of CONSTRUCTION $9�.25 Fire cJ �3.1�
PLAN CMECKFEE TOTALf E
Lic S 5 0 $10 . 0
$�GN4TUpEOFCON'RACTOpONAUTMOp�ZEDAGENi ID�iE� EN j� VA�I ATE �I$ V��JR��
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S�GNOTUAEO�OWNEA���OWNEpBWIDEp� �OAiE� BL MS� q�tE
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ADDN
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Effective 5/10/99
[ l CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.DING PERMIT APPLICATION
Construcdon �Addtess: �
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Le �al Descri tion• '
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''' - I ��i� i� � il.� 1 � I ���,� ��� �� [% �A % � ��,_
LIVING AREA:
GARAGE AREA:
DECK AREA:
Attach to this application; a Certificate of Survey of the
lot, with the proposed � construction drawn on at to scale.
Length
Length
Length
DESCRII'1'IO1�1 OF IMPROVEMENT
Width Height
Width Height
Width HgtlGround
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER:
co���uon T�: ► n ���a c�st: $ 3� lD �� D� �
Driveway C�rb Cut Width Need�d: �' Ft. + 6 Ft = Ft x$ _$ �
DA�: I I IS 9
Permit Fee
.�-
�� ��
Fire Surcharbe
State Surcharge
SAC Charge
License Surcharge
Driveway Eserow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ O_
$ � ��
$
W y�
$
$
$
$
CITY USE ONLY
Tel. # — �
Fee Schedule on Reverse Side
:QOl of Permit Valuatioa� (1/lOth%)
$.50/$1,000 Valuation .
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
r �`. , �
STIP TIONS! 1//�� ���;%`12�%��
���
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BUII.DING PERMIT FEE SCHEDULE
A
The Chief Building Official shall, before issuing permits for the erection of any building or stnacture, o� ��r any
addition to any existing building or structure, or for any alteration or repair to any existing building or sari�cture,
upon application therefore, require the payment by the applicant for such permit af feess to. the amourflt �erein
below set forth and.in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,Q01 to $25,000
$25,001 to $50,000
$50,001 to $100,�0
$100,001 to $500,000
$SOO,QOl to $1,Q00,000
$1,000,�1 and up
FEES
$23.50
$23.50 for first $5� plus $3:05-:for each addrtional �100 or �.
fraction thereof, to and _including:$2,000 ,..
$69.25 for fust $2,000 plus $14.00 for each additional �1,000
or fraction thereof, to and including $25,OOU
$391.25 for %st $25,000 nlus $10.10 for each additional $1,000
or fracrion thereof, to and including $50,0(i0 �
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1, 000 or fraction thereof, to and including $1,000, 000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof .
I��VE_W�i� I�EPItE,S�ION ESCROW
(Conerete C�rb Streets Only)
<
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.�0.
Aiternate "B": Removal and replacement of curb and gutter and install a 3 foot wi�e
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATI(iN OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for �coper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the lacation of the foundation once it has it has been co�� ��..� will
be required before proceeding with the framing.
Building
Inspections
763-572=3604
DATE�
SITE ADDRESS
THIS APPLICANT IS:
�a
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
❑ OWNER
PROPERTY OWNER/ Np�: ,'L �
TENANT pDDRESS:_�
PHONE: �G.J —
CONTRACTOR Np�: , �
,
SUBMIT A COPY OF STATE LICENSE # d
YOUR STATE LICENSE ADDRESS: � 13�
WITH APPLICATION pHONE � °�� �
PROPERTY TYPE INGLE FAMILY/Nf
❑ TWO FAMILY/NEW
PERNIIT TYPE � �DITION
❑ BASENIENT FINISH
❑ DECK
Y�OUR F-�A1L ADDRESS ,
/ �- ,?,�'�/{ `�
�NTRACTOR
� Qr' P2C �i
��� �SI`, h
� � E��f �
�
FAX
Pernut No.: ��jp'1- OD �c5
Received By�'L�.
Date Rec' d: �'% �/ G
A,
E3� DATE
CITY � ��� �'1 STA��ZIP ��� �,�
� R�F ❑ DRAIN TILE
❑ SIDIlVG 0 OTFIER
❑ SWIM1vIING POOL
TYPE OF WORK: ��� O ADDITION
� MAINTENANCE/REPAIIt REMODELW
DESCRIBE WORK BEING DONE: ��LC�„�- 0 J'�Q`- �'�'�
SIZE OF IMPROVEMENT
ROOFING
NUIvIBER OF SQUARES �
GARAGES
PROPOSED S�ZE:
PROPOSED HEIGHT:
SIDING
O Vinyl
� Aluminum '
❑ Ofher .
& GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
wnvnows
IN E3�SSTING OPEMNGS OYes �No IACATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE S1ZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF �'
HEIGHT
BASEMENT REMODELING SUBNIIT:
I. Existing Fl�r Plan
2. Proposed floor plan
3. List of strucUual members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCI-IES SUBMIT:
l. Site Plan/Survey showing tl�e existing structwes
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
�'/ (USIN 1997 U.B.0 FEE SCHEDULE)
b TOTAL JOB VALUATION $ i'-" OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Dae
$ �13.� �
$
$ ai �C�GI
$ l . U�
$ S�DD
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to NIWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclmowledge that the information above is complete and accuraxe; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; Wat I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT " � � PRINT NAME ��C��] �"el S (`� l / DATE `� ��� "�/
Page 2- Building Residential Applica.tion
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing Permits for the erection of any building or
structure,, or for any addition to any existing buildin.g or structure, or for any alteraxion or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such pemut of fees to the amount herein below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for construction will be issued a�n�mum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977